South Dakota Code § 34-11-9

Exemptions from license requirements
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The following are exempt from the provisions of §§
34-11-2
to
34-11-8
, inclusive:
(1) The occasional use of a privately owned vehicle or aircraft, not ordinarily used in the business of providing ambulance service or operating under the provisions of §
32-34-3
;
(2) A vehicle that provides ambulance services following a disaster or emergency, if ambulances based in the area are unable to provide the necessary services;
(3) An ambulance service based outside of this state, unless the service is receiving a patient in this state and providing medical transportation to another location in this state;
(4) A vehicle owned and operated by a rescue squad, provided the vehicle is not regularly used as an ambulance outside of rescue operations;
(5) An ambulance owned and operated by the federal government; and
(6) A vehicle used to provide coach service, by prior appointment, for persons who require non-emergency medical transportation.

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